Individual
DANA CATHERINE IMAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3865 JACKSON ST, RIVERSIDE, CA 92503-3919
(951) 688-2211
Mailing address
3865 JACKSON ST, RIVERSIDE, CA 92503-3919
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9663
CA
Other
Enumeration date
06/03/2013
Last updated
06/10/2013
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